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1255779872
BRECKON N PATCH
LAS CRUCES, NM
NPI
1255779872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM C-09262)
Enumeration Date
2013-06-05
Last Update Date
2015-12-31
Business Address
-- BRECKON N PATCH LCSW
3100 OAK ST
LAS CRUCES, NM 88005-3425
Phone number: 575-323-3354
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Mailing Address
-- BRECKON N PATCH LCSW
3100 OAK ST
LAS CRUCES, NM 88005-3425
Phone number: 575-323-3354
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